D

ST JOSEPH RESIDENCE

495 MAMMOTH RD, MANCHESTER, NH 03104
Score: 47 / 100

CMS data shows St Joseph Residence earning a D grade with a score of 47/100, placing it below most facilities in New Hampshire. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at St Joseph Residence exceed national averages, with 6.21 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.05 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 11 deficiencies at St Joseph Residence. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.21 3.8 Above Average
Registered Nurses (RN) 1.05 0.7 Above Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 4.23 2.4 Above Average
Weekend Total Nursing 5.08 3.8 Above Average
Weekend RN Hours 0.45 0.7 Below Average

🔍 Inspection & Deficiency History

11
Total Deficiencies
Dec 22, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 8 Moderate
View recent deficiencies (5 shown)
  • Tag 0725 Severity F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Dec 22, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Dec 22, 2025 · Infection Control Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Oct 30, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0692 Severity D
    Provide enough food/fluids to maintain a resident's health.
    Oct 30, 2024 · Quality of Life and Care Deficiencies
  • Tag 0883 Severity D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Oct 30, 2024 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.6% 4.5% Better
Falls with major injury 4.8% 3.0% Worse
On antipsychotic medication 11.0% 14.5% Better
Urinary tract infections 2.5% 2.5% Average
ADL decline (daily activities) 30.1% 14.0% Worse
Excessive weight loss 7.4% 7.5% Average
New/worsened incontinence 18.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
22
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 22, 2025
Deficiencies (Cycle 1)
3